One case of immediate breast reconstruction with bilateral medial arm perforator flaps
10.3760/cma.j.cn114453-20220131-00024
- VernacularTitle:双侧臂内侧穿支皮瓣移植即刻乳房再造1例
- Author:
Dajiang SONG
1
;
Zan LI
;
Yixin ZHANG
;
Bo ZHOU
;
Chunliu LYU
;
Yuanyuan TANG
;
Liang YI
;
Zhenhua LUO
Author Information
1. 湖南省肿瘤医院肿瘤整形外科，长沙 410008
- Keywords:
Breast neoplasms;
Deep inferior epigastric artery perforator flap;
Medial arm flap;
Breast reconstruction
- From:
Chinese Journal of Plastic Surgery
2023;39(5):514-519
- CountryChina
- Language:Chinese
-
Abstract:
On June 15, 2021, a female patient with right breast cancer aged 43 years old was admitted in Hunan Cancer Hospital. She received left mastectomy 13 years ago and left breast reconstruction with pedicled rectus abdominis myuocutaneous flap 6 years ago. After admission, she received right mastectomy and immediate right breast reconstruction with bilateral free medial arm perforator flaps. The lateral side of the breast was reconstructed with the ipsilateral medial arm flap. The superior ulnar collateral vessels were anastomosed with the proximal end of the lateral thoracic artery and distal end of the lateral thoracic vein. And the contralateral medial arm flap was used to reconstruct the medial part of the breast. The superior ulnar collateral vessels were anastomosed with the proximal and distal ends of the internal mammary vessels. After revascularization, the blood supply of the flap was good, and the donor sites were closed directly. The postoperative course of the patient was stable, the flap survived well, and the donor area healed well. In the two-month follow-up, the appearance and function of the flap donor area was good, there were no obvious complications, while the reconstructed breast shape was not satisfactory. This case suggests that the combined transplantation of bilateral free arm medial perforator flaps is suitable for small and medium-sized breast reconstruction, but not enough for large-volume breast reconstruction.
